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Patient Data

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Axial T2

Both temporal lobes demonstrate cystic hemosiderin lined change. On the right there is abundant vasogenic oedema.

Case Discussion

This patient had had previous radiotherapy for nasopharyngeal carcinoma, and now demonstrates typical, albeit pronounced, changes of radionecrosis of the temporal lobes. It is important to note how variable the appearance can be even in the one patient from the one exposure.